HomeMy WebLinkAboutPERMIT 170 Boyd Ln Shed 2011-05-26°fftc0ReceivedDate2oil.c’-Town of Estes Park Copy’Permit Number ‘
Received By Long-Term Residential Application /Building Permit 2O’(
Department of Building Safety 170 MacGregor Avenue P.O.Box 1200 Estes Park,CO 80517 Application Expires —
General Information and Inspection Line (970)577-3731 ‘FAX (970)586.0249 •www.estesnet.com ‘ZO 7_.
NOTE:Use this Form for Long-term Residences 30 days or more.Permit Expires -
Job Address:11.0 Lcc’4 Condo:!No DYes;Lot Size:&C’5 sf/ac
Lot:BJock:Subdivision:S4t Parcel#:3 7-1 OL
Owner Name:(3 1-C Phone:C\1 -‘70
Address:1 0 1P CO OS 17
(Stre)(City)(State)(Zip Code)
Contractor:L .i&4c”,.S1rô°-e LCMS J1L Town License #:Phone:g 1 -(-cs7
Address:O .UuLe Ri$Cor ‘OS 4
(Street)(City)(State)(Zip Code)
The Following Applies to New Work Only —Complete all that apply:New Building C Alteration C Addition Master P)an#
Building Use(s):C Owner /Residence C Rental —30 days,ormore.0 Accessory Dwelling
Existing use:
___________________Proposed
use:!Q;#of New Dwellings:O ;#of New Kitchens:O
Sewer:,Estes Park Sanitation C Upper Thompson Sanitatióñ EPrivate Septic —Requires Applicant to first go to the Health Department.
Plumbing Involved:No C Yes —State and Town Licenses Required;Plumbing Fixture Worksheet Required.
Fixtures:C Add C Relocate C Replace C Demolish Water Service:q’Existing C New -#of Meters:.Meter Size:inches
El i:Involved:No C Yes —State &Town License Required.State Permit and Inspection.Required.
Service:C Existing C New:C Overhead C Underground;#of Meters:;Meter Size:amps;Temp Meter:C No C Yes
Type of Heat:C Gas .-C Furnace Fuel Gas Involved:1 No C Yes —Qualifications and System Sizing Required.
C Electrk.Lr\0’C Boiler Type:C Natural Gas C LPG #of Gas Appliances I Outlets:__
Building #Floors Basement(sf)1 FlOor(sf)2tid Floor (sf)Garage /Carport.(sf)Porch w/Roof Deck wlo Roof
Height:Fin tf-L Fin
__________
Fin
__________
Attached
_______
(sf (sf
Ft.1 Unfin Unfin__________Unfin Detached
________
Job Description:/u4,I bt,c -_4e_j..Total Valuations (Labor &Materials)
3t’coe-d lxL Oft s qqo1o
I certify this application is true and correct and agree to perform the work described according to plans/specifications submitted,reviewed and approved,and comply with
local ordinances,state and federal laws as well as building codes.I certify that I have the property owner’s authority and permission to apply for this permit.Additionally,I
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY FEES OR EXPENSES INCURRED FOR PLAN REVIEW,PERMITS,INSPECTIONS AND OTHER
FEES ASSOCL4TED WITH THIS APPLICATION.
Contractor C Owner C Owner’s Agent C Tenant
Signature Date
________
PiintName .L.p .
***Office Use Only ***
Job Description:JjflT/t/f6/J .Sig4 zx/Application Information
.____________________Approved Disapproved Fees
Public Works
p1icable Type of Occupancy Class(es):Water
one(s):Zoo3 I Cbnstruction:
C y Light &Power
Occupant Load(s):Floor Load(s):Roof Load:
7 Planning ‘o,oo
Vatiances:/-i $IOA.fAL.()5 Fire Department1i-c(Building (2,9z
Setbacks I Front River Plan Review iQ(II,ISides.l Reari
I IJIA
Zoning I Hazards ICensus #County Tax
“Geo Wildrire F1od
Certificate of Occupancy
DateBuildingOffi4 Total
\\Serverl 3\huildingdept\lts\Applications\l3uilding\Long-term Residential l3uilding Permit\Long-term Residential Building Permit.doc Revised 7/22/2(11 (1-CB